HealthCARE Card Member Survey

1.
HealthCARE Card

50%
of survey complete.

We are very interested in your opinion about the HealthCARE Card and the benefits we offer. This information is essential in helping us better serve you. Please take a moment to complete this confidential survey online. Thank you!

Please select the option that best reflects your situation.

How long have you been a HealthCARE Card member?

0 to 1 year

1 to 3 years

3 to 5 years

More than 5 years

How often do you use your HealthCARE card?

More than 10 times a year

5 to 10 times a year

3 to 5 times a year

Once or twice a year

Never

What type of benefit do you use most often?Mother Frances Hospital benefits:

Parking Discount

Cafeteria Discount

Free Coffee

Lifeline Installation Discount

What type of benefit do you use most often?Local business discounts:

Automotive

Beauty

Entertainment

Health Care

Travel

Other (please specify)

What type of benefit do you use most often?National business discounts:

Automotive

Beauty

Entertainment

Health Care

Travel

Other (please specify)

What type of benefits do you find most useful?Mother Frances Hospital Benefits:

Parking Discount

Cafeteria Discount

Free Coffee

Lifeline Installation Discount

What type of benefits do you find most useful?Local business discounts:

Automotive

Beauty

Entertainment

Health Care

Travel

Other (please specify)

What type of benefits do you find most useful?National business discounts:

Automotive

Beauty

Entertainment

Health Care

Travel

Other (please specify)

How often do you refer to your HealthCARE Card Benefits Directory?

Not aware of directory

More than 10 times a year

5 to 10 times a year

3 to 5 times a year

Once or twice a year

Never

Are there any local businesses you would like to see offer discounts to HealthCARE Card members?If so, please list them here.

Have you or a member of your family been a patient at Trinity Mother Frances in the past year? If so, please indicate the location(s).

DirectCARE

EasyCARE Clinic

Emergency Care Center - Tyler

Emergency Care Center - Jacksonville

Inpatient - Tyler

Inpatient - Jacksonville

Outpatient

Pharmacy

Physician Visit

Rehabilitation Hospital

How likely are you to choose Trinity Mother Frances for your care?

Very Likely

Likely

Somewhat Likely

Not Likely

Will Not

YES, I would like to receive electronic information from Trinity Mother Frances. Here is my information and email address (Optional):